Patient Access Specialist - HUC II

Job Overview

As part of Revenue Cycle Management, this position is responsible for creating a positive first impression of M Health Fairview and ensuring an exceptional experience is achieved while interacting closely with patients, families, and other internal and external stakeholders in a highly organized and professional manner. This position must utilize effective interpersonal skills to gather patient demographic for a complete and accurate registration, identifies insurance, gathers benefits, communicates and collects patient's financial obligations. Also coordinates communication between unit-based staff, providers, other departments, and transcription of orders to help to facilitate care progression of ED and Inpatients. Individuals in this role are expected to demonstrate the M Health Fairview commitments (Integrity, Service, Compassion, Innovation and Dignity) along with critical thinking skills, a strong work ethic and flexibility. Evening schedule : 48 hours / bi-weekly on a 4-week schedule rotation : Week 1 : Monday 3 : 15 pm to 11 : 45 pm, Tuesday and Wednesday 4 : 15 pm to 12 : 45 am Week 2 : Friday, Saturday and Sunday 2 : 30 pm to 11 : 00 pm Week 3 : Tuesday, Wednesday and Friday 4 : 15 pm to 12 : 45 am Week 4 : Monday 3 : 15 pm to 11 : 45 pm-2345, Saturday and Sunday 2 : 30 pm to 11 : 00 pm

Responsibilities

• Interview patients to obtain and document accurate patient demographic and insurance information in the medical record. Provide on-site in person scheduling.
• Use insurance knowledge and resources to accurately code insurance and verify eligibility using online, web-based or phone systems to ensure accuracy and expedite payment.
• Perform check-in process including collection of co-pays, signatures on forms, scanning insurance cards and / or IDs and provide patient with any notices according to regulatory requirements. Support price transparency through patient education and collection on estimated financial responsibilities and refer patient to financial assistance / counseling resources as appropriate.
• Help facilitate transfers to units or other facilities, place ED and Inpatient provider orders, coordinate phone consults for providers; assists in the communication and documentation of emergency codes on the units.
• Interact with patients and families in challenging and unique situations that may require de-escalation skills.
• Manage daily worklists and / or work queues and resolve assigned tasks in a timely, accurate, and efficient manner. Assist mentoring new staff.
• Confirm insurance benefits for services including coverage limitations, referral or authorization requirements and patient liabilities.
• Provide proactive price estimates and communicate to patient to help them understand their financial responsibilities and collect. Inform patient of gaps in coverage, educate patient on available options, and refer to financial counseling for assistance.
• Prepare and communicate / deliver notices of non-coverage to patients (ex : HINN, ABN, waiver, Medicare lifetime reserve days).
• Follow up with payers on active authorized referral requests to verify determination or payer step in determination process.

Required Qualifications

Preferred Qualifications

Benefit Overview

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information.

Compensation Disclaimer

An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

EEO Statement

EEO / Vet / Disabled : All qualified applicants will receive consideration without regard to any lawfully protected status